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Maryland rates for HCPCS Q4199

Cygnus matrix, per square centimeter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$130.26 / $130.26 / $130.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.15 / $111.15 / $122.27
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$335.16 / $335.16 / $335.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$111.15 / $111.15 / $111.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.15 / $111.15 / $141.56
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.48 / $111.15 / $285.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.15 / $111.15 / $117.82
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.15 / $111.15 / $145.61